Responding to Cardiac Arrest in the Community in the Digital Age

Allan, Katherine S.; O'Neil, Emma; Currie, M.; Lin, Steve; Sapp, John L.; Dorian, Paul

doi:10.1016/j.cjca.2021.12.005

Cited by 11 publications

(4 citation statements)

References 82 publications

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“…The reported benefits of integrated care include a reduced number of patient appointments [7], improved continuity of care [7], better co-ordination of services [8,9], more personalised care [9], reduced cost [10], improved quality of life [11], and improved patient outcomes [12]. Some challenges have been identified with implementing this model, including a lack of investment in infrastructure and organisational management [13], and compromised care as a result of communication failures [14][15][16].…”

Section: Introductionmentioning

confidence: 99%

What do consumer and providers view as important for integrated care? A qualitative study

Carrigan

Roberts

Clay‐Williams

et al. 2023

BMC Health Serv Res

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Background Integrated care is a model recognised internationally, however, there is limited evidence about its usability in the community. This study aimed to elicit community and provider views about integrated care and how implementation could meet their healthcare needs in a new hospital. Methods Using a qualitative approach, consumer and provider views on the strengths, barriers and enablers for integrated care were collected via a series of online workshops and supplementary interviews. Results A total of 22 consumers and 49 providers participated in 11 focus groups; all perceived integrated care to be an accessible and efficient model that offers a high level of care which enhanced staff and patient well-being. Providers expressed concerns about longer waiting times and safety risks associated with communication gaps and insufficient staff. Enablers include supporting consumers in navigating the integrated care process, co-ordinating and integrating primary care into the model as well as centralising patient electronic medical records. Discussion Primary, tertiary and community linkages are key for integrated care. Successful interoperability of services and networks requires an investment in resources and infrastructure to build the capability for providers to seamlessly access information at all points along the patient pathway. Conclusion Integrated care is perceived by consumers and providers to be a flexible and patient-focused model of healthcare that offers benefits for a hospital of the future.

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Section: Introductionmentioning

confidence: 99%

What do consumer and providers view as important for integrated care? A qualitative study

Carrigan

Roberts

Clay‐Williams

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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“…Smartphone applications (apps) can provide detailed instructions for bystanders to perform high-quality CPR prior to EMS arrival and provide feedback regarding the chest compression depth and rate in real time by using the phone's acceleration sensor data [42,43]. However, the medical correctness of the information on some of these apps is not well regulated.…”

Section: Smart Devicesmentioning

confidence: 99%

“…The usage of a smartwatch can further help CPR guidance using its vibration function to reinforce accurate depth and rate of compressions, and compared to smartphone apps it has been shown to be more accurate in providing this feedback [42,50]. Use of smartwatches has also been found to be beneficial in improving the quality of CPR regarding rate and depth of chest compressions as compared to non-watch wearers in both adult and infant studies [48,49,51,52].…”

Section: Smart Devicesmentioning

confidence: 99%

“…Use of smartwatches has also been found to be beneficial in improving the quality of CPR regarding rate and depth of chest compressions as compared to non-watch wearers in both adult and infant studies [48,49,51,52]. Smartwatch users also note that they felt more confident in administering CPR while wearing their watch due to the feedback functionality [42].…”

Section: Smart Devicesmentioning

confidence: 99%

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Application of Technology in Cardiopulmonary Resuscitation, a Narrative Review

Levitt,

Boone,

Tran

et al. 2023

JCM

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Novel medical technologies are designed to aid in cardiopulmonary resuscitation both in and out of the hospital. Out-of-hospital innovations utilize the skills of paramedics, bystanders, and other prehospital personnel, while in-hospital innovations traditionally aid in physician intervention. Our review of current literature aims to describe the benefits and limitations of six main technologic advancements with wide adoption for their practicality and functionality. The six key technologies include: extracorporeal membrane oxygenation (ECMO), real-time feedback devices, smart devices, video review, point-of-care ultrasound, and unmanned aerial vehicle (drone) automated external defibrillator (AED) delivery. The benefits and limitations of each technology were independently reviewed and expounded upon. Newer technologies like drone AED delivery, paramedic ultrasound use, and smart devices have been demonstrated to be safe and feasible, however, further studies are needed to compellingly demonstrate improved patient outcomes. In-hospital use of ECMO and ultrasound is well established by current literature to aid in cardiopulmonary resuscitation and improve patient outcomes.

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